NPI 1124579842

Kathryn Minahan

Practitioner Athletic Trainer Detroit, MI

Practice location

Address: 5101 John C. Lodge 101 Matthaei, Detroit, MI 48202
Phone: (313) 577-1008
Mailing address: 460 W Canfield St 205, Detroit, MI 48201-1317

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601000941 (MI)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1124579842
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2016
Record last updated: 18 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.